Year: 1900
Type: article
Abstract: [IMTL-n c LTm 44X infantile hernia.Demmeaux has suggested that whether the sac first present in the scrotum be congenital or acquired, the press of intestine on a weak and loosely supported neck may cause a diverticulum slowly to develop.Such pouch may be in front or behind, to the inner or outer side.If rupture of the neck of a femoral sac occurs the bowel miiay pass into the subperitoneal tissue.Callisen recorded in 1777 a case where, owing to rupture of the sac below the neck, the bowel had escaped and made for itself a lodgment between the pectineus and psoas muscles.rThese conditions may be represented in tabular form thus: REDUCTION IN MASS.True.False.I. Reduction into a pro-peritoneal I. Rupture of the sac at the neck sac; rarely an iaterstitial sac.or elsewhere, with escape of fluid 2. Reduction of the whole sac, only.The hernial swelling becomes with contents, within the abdomen, considerably smaller, but the bowel outside the peritoneum, the mutual rema-ins strangled.Xzelations of sac and contents being 2. Reduction of part of the hernial undisturbed.contents.A small portion remain- 3. Rupture of the neck of the sac ing in the canal, paralysed and stiff .irits division during operation and with iDflammatory products, under- extravasation of the hernial con-goes a " secondary" strangulation.lpnts into the subperitoneal tissue.
Source: BMJ
Author: R. C. Bailey
Language: English
Topic: Hernia repair and management
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2124874818